Provider Demographics
NPI:1245083823
Name:HENSON, CRINA MIHAELA (FNP - C)
Entity type:Individual
Prefix:
First Name:CRINA
Middle Name:MIHAELA
Last Name:HENSON
Suffix:
Gender:F
Credentials:FNP - C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7305 BISHOP PINE RD
Mailing Address - Street 2:
Mailing Address - City:DENTON
Mailing Address - State:TX
Mailing Address - Zip Code:76208-7701
Mailing Address - Country:US
Mailing Address - Phone:469-360-2438
Mailing Address - Fax:
Practice Address - Street 1:415 US HWY 377 STE 204
Practice Address - Street 2:
Practice Address - City:ARGYLE
Practice Address - State:TX
Practice Address - Zip Code:76226-3923
Practice Address - Country:US
Practice Address - Phone:214-945-8551
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-04-11
Last Update Date:2024-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX928490163W00000X
TX1160132363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse